Unknown Individual – Otolaryngology Physician, NPI 1740220292

Unknown Individual is a healthcare provider. based in Joliet, Illinois. specializing in Otolaryngology Physician. They hold a License No. 36 44774 (IL). The NPI Number for Unknown Individual is 1740220292

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1740220292
Phone
(815) 744-2500
Address
3077 W JEFFERSON ST STE 206
Deactivation Date
10 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3077 W JEFFERSON ST STE 206

    JOLIET, IL 604355264

    Phone: (815) 744-2500

    Fax: (815) 744-3550

    Type: Mailing

  • 3077, West Jefferson Street, Joliet, Troy Township, Will County, Illinois, 60435, United States

    SUITE 206

    JOLIET, IL 604355264

    Phone: (815) 744-2500

    Fax: (815) 744-3550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60435)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1740220292.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Joliet, Illinois in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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